Individual
LISA ANN BONNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT MMP MLDT
Contact information
Practice address
1012 SAGEWOOD LANE, SAGINAW, TX 76131
(817) 781-0772
Mailing address
1012 SAGEWOOD LANE, SAGINAW, TX 76131
(817) 781-0772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT114793
TX
Other
Enumeration date
11/08/2013
Last updated
02/04/2022
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